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H05.319

Billable

Atrophy of unspecified orbit

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

This code describes a condition where the eye socket (orbit) on an unspecified side of the face has shrunk or wasted away due to loss of tissue. This can occur from various causes including injury, surgery, or disease affecting the structures within or around the eye socket.

Coding Tips

  • Use the fifth character '9' only when the specific side (right or left) of the orbit is not documented; if laterality is known, use H05.311 (right) or H05.312 (left) instead
  • Atrophy of the orbit is typically a chronic condition that develops over time; ensure documentation supports the diagnosis and consider querying the provider if the affected side is not specified

Code Hierarchy

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